The USAID Global Flagship Convening on CHW-Focused Investments

August 28, 2018

© 2012 Meagan Harrison, Courtesy of Photoshare

Welcome & Opening Remarks

© 2014 PATH/Will Boase, Courtesy of Photoshare

Overview Several USAID partners make significant contributions to sustaining and scaling high-quality

community health worker (CHW) programs supported by health and community systems at the global level and in focal countries.

USAID focal partners and other actors engaged in collaboration with USAID will share updates on their progress and discuss emerging plans and opportunities to support global efforts, such as the Acceleration Roadmap for Community Health, CHW guidelines for advocacy and communication, the Global Financing Facility (GFF) toolkit, and the Community Health Academy. In addition, focal countries will contribute to a mapping of USAID’s footprint as well as improved dialogue and coordination across USAID-supported partners.

We are defining “CHW-focused investments” to be any completed, ongoing, or planned technical tools, policy briefs, research studies, or any flagship country programs where CHW support is provided.

The convening will provide a collaborative space for USAID, global flagship representatives, and other global actors which will be timely in light of the forthcoming WHO CHW Guidelines, and upcoming fora such as the HSR Symposium, UNGA, the Astana Global Conference on Primary Health Care, and ICFP.

Convening Objectives

Share information between flagship projects of USAID’s Global Health Bureau on collective best CHW tools, investments, and other global goods and focal countries for technical assistance

Generate recommendations how USG and partners can coordinate and support USAID’s collaboration with other institutions for community health, including engagement with WHO on the CHW Hub

Brainstorm what roles USAID global flagship projects can play in operationalizing the forthcoming WHO CHW Guidelines and contribute to potential derivative products or complementary knowledge to advance the guidelines

Agenda

Introductions CHW Updates Round Robins Global Flagship Knowledge Sharing USAID Collaboration for Community Health

Discussion Groups for Collaboration Working Lunch Report Back & Next Steps Closing Remarks

Full agenda can be found at: https://bit.ly/2NReaRE

Introductions

CHW Updates

© 2017 Laura Wando, Courtesy of Photoshare

Global CHW Landscape

Giorgio Cometto

World Health Organization

© 2011 danny victoriano, Courtesy of Photoshare

Notes from Giorgio’s updatesWHO CHW Guidelines

They are normative and will recognize the role of CHWs in health systems

Alignment with the Global HRH Strategy: Workforce 2030, as well as the ComHEEG recommendations

Challenge: ensuring that policy recommendations are understood and embedded in national planning

It will be important to identify evidence gaps, such as in certification and contracting. Within education, supervision, remuneration, there is some evidence. More is needed in terms of evaluating long term effects and costs.

They will be launched at the Global Conference on PHC in Astana (Oct 25-26)

In addition to the 200+ page guidelines, derivative products include a 10-page executive summary, a policy brief, presentation, and multiple articles that contributed to the guidelines

USAID implementation partner engagement is through the CHW Hub

USG CHW Landscape

Vince Blaser

Frontline Health Workers Coalition

©2007 Jimmy P. Dumlao II, Courtesy of Photoshare

Notes from Vince’s updatesUSG CHW Investments and Update There is globally lots of momentum on CHW-focused initiatives

USG initiatives that build upon the global ones : USAID HSS Vision (2015-19); PEPFAR 3.0 HRH Strategy; Acting on the Call; Global Health

Security Agenda; Gates and UNICEF collaborations

Recommended actions to sustain momentum: Discuss with representatives: quantify and qualify lives saved Impact on global security, economic impact Inform members of congress state programs that our projects work with (via Frontline Health

Workers Coalition) Demonstrate impact

Discussion: How can we maximize on our current programs? Where are the Gaps? How can we address going forward?

Global Financing Facility Toolkit

Ryan Schwarz

World Bank / GFF

Photo by Chemonics

Notes from Ryan’s updatesGlobal Financing Facility (GFF) Toolkit Pushing country-led investments in RMNCH More opportunity to prioritize frontline health worker development Toolkit explores how conversations go on at the country level? Looking at systems as a whole at the facility and community systems – looking to

leverage systems developed by people her today – want to include resources by all stakeholders

It’s a living document; WB hopes to develop into easily accessible portal to build capacity at the country level in developing strategic plans

Fitting into overall health system – involves mapping each country’s stakeholders and needs.

IPs need to coordinate efforts, mobilize around GFF platform (Mozambique is a good example).

To be launched at Global Conference on PHC in Astana (Oct 25-26)

Introduction to Round Robins

Rachel Deussom

Technical Director, HRH2030

Photo by Polandeze

Preliminary: CHW-focused investmentsFlagship Project/

CollaborationTechnical Tools Policy

BriefResearch

Study Other

APC F: Service deliveryF: Mobile apps

A: Policy/advocacy video

A: "Catalog" of community health-related policies organized by health systems areasA: Framework

AMP Health C C

CHWS for ALL

ABCDABCDE

ABCDE: Technical AssistanceABCDE: Platform for teaching and learning

HRH2030 ADC

CD: Assessment methodology

LINKAGES C

MCSP ABCACD

A: Open access manuscript/analysis with policy implications for community health programmingACD: Multiple resources including an Advocacy PPT to help countries communicate about the conference and advocate for community health -- and 10 Critical Principles

A= Systems design & policy B= Finance

E = Health productsF = Other

C = Systems management and leadershipD = Political prioritization

Additional details about investments by partner under round robin presentations

Preliminary: CHW-focused investmentsFlagship Project/

Collaboration

APC Community Health Systems Catalog | Community Health Policy Matters | Post Ebola Survivors ToolkitCommunity Health System Framework | Harmonizing mHealth

AMP Health CHW Technical Tool | CHW Research Study

CHWS for ALL

CHWs for ALL: Community Health Workers for Advancing Liberian Livelihoods | Liberia Scale-Up of Community Health Assistants | Exemplars in Global Health | Institutionalizing Community Health (Bill & Melinda Gates Foundation) | Community Health Academy

HRH2030 Differentiated Service Delivery in High HIV Burden Settings: A Tool for Estimating Human Resource NeedsToolkit: Optimizing Health Worker Performance and Productivity to Achieve the 95-95-95 TargetsCommunity-Based HIV Workforce Assessment Approach

LINKAGES When Situations Go From Bad to Worse: Guidance for International and Regional Actors Responding to Acute Violence

MCSP Developing and Strengthening CHW Programs at Scale: A Reference Guide for Program Managers and Policy Makers (condensed version) | Hubris, humility and humanity: expanding evidence approaches for improving and sustaining community health programmes | Community-based Health Planning and Services (CHPS) Costing Tool | CHW Coverage and Capacity (C3) Tool | Resources from the Institutionalizing Community Health Conference (ICHC)

SPRING Raising the Status and Quality of Nutrition Services | Nutrition Workforce Mapping Toolkit | Community Health Worker Country Profiles for Nutrition Advocacy | Building a Shared Vision for Good Nutrition, Growth, and Development in the Community: A Recipe for Policymakers, Planners, and Program Managers |

Flagship Project/ Collaboration

APC Botswana | Burkina Faso| Cameroon | Cote d'Ivoire | Dominican Republic | Ethiopia | Ghana | Guinea | Guyana | Haiti | Iraq | Kenya | Liberia | Madagascar | Malawi | Mali | Nepal | Nicaragua | Nigeria | Papua New Guinea | Rwanda | Senegal | Sudan | Tanzania | Togo | Uganda | Zambia | Zimbabwe

AMP Health Ghana | Kenya | Malawi | Sierra Leone | Zambia

CHWS for ALL Liberia

HRH2030 * Botswana | Burundi | Cameroon | Colombia | Cote d'Ivoire | eSwatini | Gambia | Guinea | Indonesia | Jordan | Kenya | Madagascar | Malawi | Mali | Namibia | Niger | Nigeria | Philippines | Senegal | Sierra Leone | South Africa | Tanzania | Uganda | Zambia

LINKAGES Angola| Barbados | Botswana | Burundi | Cameroon | Democratic Republic of the Congo | Cote d'Ivoire | Djibouti | Dominican Republic | eSwatini | Haiti | India | Indonesia | Jamaica | Kenya | Kyrgyzstan | Laos | Lesotho | Malawi | Mali | Mozambique | Nepal | South Sudan | Sri Lanka | Suriname | Thailand | Trinidad and Tobago

MCSP * * Democratic Republic of the Congo | Egypt | India | Mozambique | Myanmar | Namibia | Nigeria | Rwanda | Uganda

Preliminary: Country presence

* * The countries listed reflect MCSP support in 2018, not all countries where MCSP has worked with CHWs over the life of project. Also, MCSP has additional work related to community health in other countries, including capacity building of community groups.

* The countries reflect HRH2030 presence where CHWs may be impacted by project HRH interventions, though in some cases more indirectly.

APC AMP Health

CHWs for ALL

HRH2030 LINKAGES MCSP

UNGA X X XHSR Symposium

X X X X

Global Conference on PHC

X

ICFP X X XOther International

AIDS Conference (July

2018)

APHA (Nov 2018)

Preliminary: Upcoming global conference presence

*No reported representation at Global Health Security Agenda Ministerial Meeting (November 2018 - Bali, ID)

Global Flagship Knowledge Sharing

APCLINKAGESMCSPSHOPS+SPRINGHRH2030

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ADVANCING PARTNERS & COMMUNITIES (APC)

© 2017 Riccardo Gangale, Courtesy of Photoshare

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For this investment: What is the title or name of this CHW investment led by

your project?

What type of CHW investment is it? Status?

How would you categorize what the CHW

investment contributes to?

CHW investment hyperlink (if applicable)

Community Health Systems Catalog

Other:"Catalog" of community health-related policies organized by health systems areas. Completed A. Systems design and policy

https://www.advancingpartners.org/resources/chsc

Community Health Policy Matters

Policy brief / Other: policy/advocacy video Completed A. Systems design and policy https://vimeo.com/211377068

Post Ebola Survivors Toolkit

Technical toolOngoing F. Other - Service Delivery

https://www.advancingpartners.org/resources/ebola-toolkit

Community Health System Framework Other: Framework Completed

A. Systems design and policy

https://www.globalhealthlearning.org/sites/default/files/page-files/CommunityHealthSystemsFramework_APC_2016_0.pdf

harmonizing mHealthTechnical tool Ongoing F. Other - Mobile apps

ADVANCING PARTNERS & COMMUNITIES (APC)

LINKAGES ACROSS THE CONTINUUM OF HIV SERVICES

FOR KEY POPULATIONS AFFECTED BY HIV (LINKAGES)

© 2017 Smile Foundation, Courtesy of Photoshare

For this investment: What is the title or name of this CHW

investment led by your project?

What type of CHW investment is it? Status?

How would you categorize what the CHW

investment contributes to?

CHW investment hyperlink (if applicable)

When Situations Go From Bad to Worse: Guidance for International and Regional Actors Responding to Acute Violence Technical tool Completed

C. System management and leadership

https://www.fhi360.org/resource/when-situations-go-bad-worse-guidance-international-and-regional-actors-responding-acute

Enhanced Peer Outreach Approach (EPOA) Implementation Guide Technical tool Completed

C. System management and leadership

https://www.fhi360.org/sites/default/files/media/documents/resource-linkages-enhanced-peer-outreach-implementation.pdf

Peer Navigation for Key Populations: Implementation Guide Technical tool Completed

C. System management and leadership

https://www.fhi360.org/sites/default/files/media/documents/resource-linkages-peer-navigation.pdf

LINKAGES

MATERNAL AND CHILD SURVIVAL PROGRAM

(MCSP)

© 2014 PATH/Will Boase, Courtesy of Photoshare

The Maternal and Child Survival Program

Preventing Child and Maternal Deaths

Brief Overview of Community Health and CHW-related Investments August 28, 2018

www.mcsprogram.org

USAID’s flagshipMaternal and Child Survival Program

Dates:June 2014-Dec 2019

Funding Ceiling: $560 Million

Where: 32 countries;

52 country programs

*Home of public-private partnerships including mPowering Frontline Health Workers

*

MCSP Community Health and Civil Society Engagement

Credit: Karen Kasmauski/MCHIP

MCSP is working to integrate community health as a central component of country health systems. We take an expanded view of what a health system is, including not only health services but all actors involved in protecting and promoting health.

MCSP has supported countries with • National community health policy and strategy for

community mobilization (5 countries: Ethiopia, Haiti, Guinea, Mozambique and Rwanda) and CHW programs (7 countries: DRC, Egypt, Ghana, Haiti, Namibia, Rwanda and Tanzania);

• CHW capacity building– (India, Kenya, Malawi, Mozambique, Myanmar, Namibia, Nigeria, Rwanda, Uganda, Tanzania)

• Training of community workers in public health emergencies for Ebola (Liberia) and Zika (Haiti)

• Use of Community Health Management Information Systems (C-HMIS) at the local level and advocating for integration into national HMIS in Rwanda, Tanzania, and Uganda, Egypt.

Community Health Community of Practicehttps://www.thecollectivity.org/en/communities/20

www.ICHC2017.org/resource• Advocacy PowerPoint• 10 Critical Principles for

Community Health Systems

MCSP provided to support to USAID, Unicef, BMGF and WHO for ICHC in 2017, which led to the creation of a Community Health Community of Practice led by Collectivity.

CHW Reference Guide and Country Case Studies

Full length versionCondensed version

Country Case Studies – full lengthCountry Case Studies - condensed

“Implementation principles for SBCE interventions” Annex 6 in

An evidence map of social, behavioral and community engagement (SBCE) interventions for RMNCH

MCSP led a process to identify common implementation principles for social, behavioral and community engagement interventions, as a background paper for the WHO, 3ie, PMNCH Evidence Map for said interventions in RMNCH.

http://www.who.int/maternal_child_adolescent/documents/social-behavioural-community-engagement-interventions-evidence/en/

http://dx.doi.org/10.1136/bmjgh-2018-000811

Manuscript: Expanding Evidence Approaches

MCSP CHW Planning Tools

Ghana Health Service CHPS Costing Tool and ManualCHW Coverage and Capacity (C3) Tool

Public access to the tools is forthcoming.

Brief: Costs and Cost-effectiveness of Community Health Investments in RMNCH

• For additional tools and resources, please visit the Resources section of the MCSP website www.mcsprogram.org/resources

• Forthcoming: Landscape analyses of CHW programs and community groups in 22 priority countries for MCH

https://www.mcsprogram.org/resource/costs-cost-effectiveness-community-health-investments-reproductive-maternal-neonatal-child-health/

Key Resources from

ORB – Online library of mobile training materials

Open Deliver

http://mpoweringhealth.org/ORB: http://health-orb.org/Open Deliver: http://mpoweringhealth.org/resources/open-deliver/

mPowering Frontline Health Workers, an initiative housed under MCSP, is a public-private partnership that is working to accelerate the use of mobile technology to improve the performance of frontline health workers around the world. To that end, we have been working closely with the Ministry of Health in Uganda to guide their implementation of a national training platform based on mPowering’s Open Deliver processes and technologies.

For more information, please visitwww.mcsprogram.org

This presentation was made possible by the generous support of the American people through the United States Agency for International Development (USAID), under the terms of the Cooperative Agreement AID-OAA-A-14-00028. The contents are the responsibility of the

authors and do not necessarily reflect the views of USAID or the United States Government.

facebook.com/MCSPglobal twitter.com/MCSPglobal

For this investment: What is the title or name of this CHW investment led by

your project?

What type of CHW investment is it? Status? How would you categorize what the

CHW investment contributes to? CHW investment hyperlink (if

applicable)

Developing and Strengthening CHW Programs at Scale: A Reference Guide for Program Managers and Policy Makers (condensed version) Technical tool Completed A. Systems design and policy

https://www.mcsprogram.org/resource/developing-and-strengthening-community-health-worker-programs-at-scale/?_sfm_resource_sub_topic=community-health-workers

Hubris, humility and humanity: expanding evidence approaches for improving and sustaining community health programmes

Other: Open access manuscript/analysis with policy implications for community health programming Completed A. Systems design and policy

https://gh.bmj.com/content/bmjgh/3/3/e000811.full.pdf

Community-based Health Planning and Services (CHPS) Costing Tool Technical tool Ongoing

B. FinanceC. System management and leadership

This is an Excel-based tool for developing the average per capita costs for Community-based Health Planning and Services (CHPS) in Ghana

CHW Coverage and Capacity (C3) Tool Technical tool Ongoing

A. Systems design and policyC. System management and leadership

Forthcoming - This is an Excel-based tool to help improve rational planning pertaining to CHW numbers and workload.

Resources from the Institutionalizing Community Health Conference (ICHC)

Other: Multiple resources including an Advocacy PPT to help countries communicate about the conference and advocate for community health -- and 10 Critical Principles Completed Various http://www.ichc2017.org/resource

MATERNAL AND CHILD SURVIVAL PROGRAM (MCSP)

STRENGTHENING PARTNERSHIPS, RESULTS, AND

INNOVATIONS IN NUTRITION GLOBALLY (SPRING)

© 2016 Nandi Bwanali/ONE COMMUNITY, Courtesy of Photoshare

For this investment: What is the title or name of this CHW

investment led by your project?

What type of CHW investment is it? Status?

How would you categorize what the CHW

investment contributes to?

CHW investment hyperlink (if applicable)

Raising the Status and Quality of Nutrition Services Other : Technical brief Completed

A. Systems design and policyhttps://www.spring-nutrition.org/publications/briefs/raising-status-and-quality-nutrition-services-within-government-systems

Nutrition Workforce Mapping Toolkit Technical tool

Completed A. Systems design and policyhttps://www.spring-nutrition.org/publications/tools/nutrition-workforce-mapping-toolkit

Building a Shared Vision for Good Nutrition, Growth, and Development in the Community: A Recipe for Policymakers, Planners, and Program Managers Technical tool

CompletedC. System management and leadership

https://www.spring-nutrition.org/publications/reports/building-shared-vision-good-nutrition-growth-and-development-community

Community Health Worker Country Profiles for Nutrition Advocacy Research study Completed

C. System management and leadership

https://www.spring-nutrition.org/publications/series/community-health-worker-nutrition-advocacy-tool

SPRING

HUMAN RESOURCES FOR HEALTH IN 2030 (HRH2030)

© 2016 Moussa Ndour/VectorWorks, Courtesy of Photoshare

https://www.hrh2030program.org/health-worker-life-cycle-approach/

Differentiated Service Delivery in High HIV Burden Settings: A Tool for Estimating Human Resource Needs

https://www.hrh2030program.org/tool_hrh-planning-for-hiv/

Identifies gaps/excess in current staffing

Applies task-shifting/sharing for critical ART tasks

Redistributes ART clients to differentiated service delivery (DSD) models

Provides evidence for decision-making: E.g., staffing mix, capacity building needs and human resource requests

Target audience: Site-level ART clinic managers, Facility in-

charges Above-site HIV Program managers

https://www.hrh2030program.org/prodperftoolkit/

Toolkit: Optimizing Health Worker Performance and Productivity to Achieve the 95-95-95 Targets

For this investment: What is the title or name of this CHW

investment led by your project?

What type of CHW investment is it? Status?

How would you categorize what the CHW

investment contributes to?

CHW investment hyperlink (if applicable)

Differentiated Service Delivery in High HIV Burden Settings: A Tool for Estimating Human Resource Needs Technical tool Completed

A. Systems design and policyD. Political prioritization https://www.hrh2030program.org/tool

_hrh-planning-for-hiv/

Toolkit: Optimizing Health Worker Performance and Productivity to Achieve the 95-95-95 Targets Technical tool Completed

C. System management and leadership

https://www.hrh2030program.org/prodperftoolkit/

Community-Based HIV Workforce Assessment Approach Other: Methodology Completed

C. System management and leadershipD. Political prioritization

https://www.hrh2030program.org/assessing_the_community-based_hiv_workforce/

Additional HRH tools and investments that can be adapted or include CHWs within scope

Completed: Rapid task analysis; PEPFAR transition support Ongoing: Gender competency framework for FP providers; ROI methodology for HRH; HRH skill mix methodology. Various

https://www.hrh2030program.org/resources/

HRH2030

USAID Collaborations for Community Health

Frontline Health Project

CHWS for ALL

Innovations

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FRONTLINE HEALTH PROJECT

© 2017 Riccardo Gangale, Courtesy of Photoshare

Frontline Health Project – Population Council Collaboration between USAID, Gates, and UNICEF since 2017 Working in 7 countries: Bangladesh, Democratic Republic of the Congo, Haiti, Kenya, Liberia, Mali, Uganda Two focuses:

Measurement: how do we measure impact? Recommending indicators, developing framework, plan to workshop at HSR with other partners

Determining metrics (i.e. for coverage) guidance on how to collect and measure. Working with IPs, Missions, and country partners Where are the critical research gaps?

Mali research- assessing roll out of DHIS2 and adoption and use Haiti assessing referral effectiveness among CHWs and analyzing policies for CHWs Multi country study: looking at incentive preferences for CHWs

https://www.popcouncil.org/research/frontline-health-harmonizing-metrics-advancing-evidence

Notes from Smisha’s updates

CHWS FOR ALL

© 2016 PATH/Will Boase, Courtesy of Photoshare

For this investment: What is the title or name of this CHW investment led by

your project?

What type of CHW investment is it? Status? How would you categorize what the

CHW investment contributes to? CHW investment hyperlink (if

applicable)

CHWs for ALL: Community Health Workers for Advancing Liberian Livelihoods

Other : Technical Assistance Ongoing

A. Systems design and policyB. FinanceC. System management and leadershipD. Political prioritizationE. Health products

https://www.usaid.gov/what-we-do/global-health/cross-cutting-areas/integrating-community-health-program

Liberia Scale-Up of Community Health Assistants

Other : Technical Assistance Ongoing

A. Systems design and policyB. FinanceC. System management and leadershipD. Political prioritizationE. Health products

Post Ebola Survivors Toolkit Research studyOngoing

A. Systems design and policyB. FinanceC. System management and leadershipD. Political prioritization

Institutionalizing Community Health (Bill & Melinda Gates Foundation) Technical tool

OngoingA. Systems design and policyC. System management and leadershipD. Political prioritization

Community Health AcademyOther: Platform for teaching and learning

Ongoing

A. Systems design and policyB. FinanceC. System management and leadershipD. Political prioritizationE. Health products http://lastmilehealth.org/CHAcademy/

CHWS FOR ALL

INNOVATIONS

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I nve st m e nt s

Tu e s d ay 2 8 A u g u st , 2 0 1 8

A M P H EA LT H O v e r v i e wU S A I D G l o b a l F l a g s h i p C o nv e n i n g o n C H W - Fo c u s e d

P r o g r a m l e a d e r s h i p a n d m a n a g e m e n t m a k e ad i f f e r e n c e i n h e a l t ho u t c o m e s

• Investment in leadership and management has increased productivity and achievement 30-fold in the private sector.

• In Kenya, coverage of key interventions increased+67% at the district level after two years of strengthening management capacity.

• In 400 successful global health programs audited by the CDC, applied leadership and management practices led to significant health improvements.

Prof. MengeshaAdmasu,Executive Director, InternationalInstitute for Primary Health Care - Ethiopia

58

Why we do what we do

s u p p o r t s M s u p p o r t s M i n i s t r i e s o fH e a l t h a c r o s s A f r i c a b y s t r e n g t h e n i n gt h e i r l e a d e r s h i p a n d c a p a b i l i t i e s .

m a n a g e m e n t

What we do

59

We place private sector professionals as Management Partners within Ministries of Health in African countries for real-time training and facilitation with a supportive partnership network.

We tailor leadership and management training (online and in-person) for individual Ministry of Health team members responsive to the specific challenges they face in their work.

We collect and share cross-country learnings and best practices and focus on building capacity for impact.

2

1

3

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How we do it

Where we do itCurrent countries

To be launched in Q4

Phased outFrancophone countries to be considered

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Sierra Leone

Zambia

Ghana

Malawi

Kenya

Our Successes to Date

• Ensure universal health coverage is one of the “big four” priorities of the re-elected president’s second term

• Facilitated a framework for counties to access over $40M in Global FinancingFacility funds for county-level community health system development

• Creation of the first ever national community health strategy• Roll out and operationalization of the strategy in majority of 29 districts in the

countryMalawi

• Training of 15,000 community health workers• Setting up of a partnership with a telecommunication provider to ensure

timely payment of incentives to all 15,000 community health works via mobilemoney

• Creation of the first-ever community health team within the ministry• Creation of the first-ever technical working group for community health

Sierra Leone

Zambia

Kenya

With support from AMP Health, the ministry of health teams we work with have been able to accomplish:

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Our Plans for the Future

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As we look ahead, we intend to:

Extend our partnerships in the countries we currently work in1

Expand our in-country work to more countries across Africa2

Create technical teams on community health informed by in-countrypartnerships

3

Discussion Groups for Collaboration

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Discussion questions Station 1 – Leveraging investments

How can USAID, IPs, and collaborators best leverage their CHW-focused investments?

Station 2 – Communicating investments and CHWs/CHS How can USAID, IPs and collaborators best communicate about CHW-focused investments and the role of CHWs/community health systems in 2018’s global fora?

Station 3 – Implementing CHW Guidelines How can USAID, IPs and collaborators be best positioned to implement the CHW Guidelines?

Groups Report Back & Next Steps

Photo by Chemonics

Station 1 – Leveraging investments How can USAID, IPs, and collaborators best leverage their CHW-focused investments?

Internal harmonization – many efforts to develop for CHWs under different technical/medical areas – not broadly used or advertised

Create internal mechanism for mapping and sharing of resources – ensure buy-in from relevant stakeholders buy in and groups

Work with local governments to understand what CHWs mean to them how they use them – then branch our investment in global goods from

Common approach to the three ones One website – common catalogue for all. Website used to exist but is no longer

maintained. Observatory does exist but is outdated. Observatory; CHW central One million community health workers campaign (may have stopped counting in

2014)

Station 2 – Communicating investments and CHWs/CHS How can USAID, IPs and collaborators best communicate about CHW-focused investments and the role of CHWs/community health systems? Mapping exercises of existing resources, look at aggregators/hubs – link together and share

Prioritize gaps (harmonize efforts)

Communicating: what universe? Domestic/International/both

And which sector? Finance, etc.

Stakeholders

Domestic community health- what can we learn?

Ethiopia – top down system, but very clear progression for CHWs

How to systematize and communicate CHW career progression. Linking up and down the system and how to use CHW’s to elevate the role of other types of health workers. i.e. midwifery groups

Communication framing per audience: government, donors, agencies, researchers, MOH, stakeholders, CHWs, other community members, other members of the health system, other government actors

Station 3 – Implementing CHW Guidelines How can USAID, IPs and collaborators be best positioned to implement the CHW Guidelines?

Call hiatus on creating new tools refer to those that exist

Require IPs to align with country CH strengthening plans and policies

Organize country level dissemination events

Provide TA to countries to self-assess and monitor action

Assist to decode and tailor the guidelines to the country context

Orient a wide range of implementing partners in CHW guideline and existing resources

Advocate to embed within health care legislation to set overarching framework

Takeaways from CHW Convening

It was very valuable to invite HSS programs and service delivery programs as well as “non-standard” CHW flagships/programs such as SPRING and FANTA

This encourages the collaboration and harmonization discussed today

Next Steps Invite/engage FANTA in the future Update and share PPT and participant list IPs: add any additional investments via survey monkey From USAID: Are there other topics within the HSS space that we should

conduct a similar meeting for bringing different projects and implementors together?

From USAID: ensure you are connect to CHW policy landscape (WHO guidelines), receive regular updates, and encourage internal coordination among USAID programs.

This is a first step, the beginning of a journey and further CHW work within a health strengthening context while promotion cross sectoral collaboration.

Next convening: Date – ?

Closing Remarks

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